Saturday, February 28, 2004 :::
work was great 'till about 0400. Then I got slammed w/ four admits and a code.
*bigger sigh*
One of the admits was a direct, meaning they came from another hospital and weren't going to stop in ER. So the first place they get to is the room on my floor.
Pretty much when the ems rolled him in our nurses started coding him.
So I'm supposed to page the house supervisor, the doctor, respiratory therapy, the chaplain, and call family. Usually this is cake 'cause all the info is already on the chart.
Except this was a direct admit. This was his first stop at our hospital. No routine paperwork had been filled out yet. And he had no family with him.
I call admitting to tell them he's on the floor and to add him into the system. I then page the house sup, respiratory, and the chaplain. Then I start rummaging through all his paperwork from the other hospital. I find the doctor over there, only he doesn't have priveldges at Covenant. So then I find the transfer sheet. All it says is... and I'm gonna have to make up this name, for obvious reasons... All it says is "Dr. Blah" under receiving physician.
I run a search in the system for Blah and come up with 2 matches - Samuel Blah and Shannon Blah.
So when admitting, who knows about the admit already, since all admissions go through admitting (kinda redundant) adds the patient to our system I have access to information that has been entered by them. So I printed out a face sheet, which contains all sorts of personal information, including first of kin and both admitting and attending physician.
Samuel Blah is listed as both the admitting and the attending doc. So I search the system and get his number.
I page him.
He calls back.
I transfer him to our charge nurse and she begins to tell him patient information like ABG results, blood pressure, heart rate, cardiac rhythm, what meds have been given, how many times they've defibrillated him... all sorts of stuff so he can decide what he wants us to do.
He then proceeds to yell at her because he does not know who this patient is.
Apparently admitting screwed up.
Admitting and attending physician is Dr. Shannon Blah.
*sigh*
And Dr. Samuel Blah is ~really~ peeved at me, since this is taking place @ ~ 0430.
So then I page Shannon Blah.
When she calls back I transfer her to Melba and Melba does the whole speil again.
And again Melba gets yelled at for whatever reason...
and the whole time we're still coding this guy.
there are some details I've left out since it's about 0800 and I just wanna go to bed. I'll probably edit this entry later.
::: posted by tinafish at 8:12 AM :::